Elizabeth V Franklin, Margaret Mathias, Rachel Wolfe, Duc T Nguyen, Drusilla M Rosales, Sofia Pedroza, Albert C Hergenroeder, Constance M Wiemann
{"title":"青少年神经性厌食症住院后的历史队列比较：虚拟团体治疗的可行性。","authors":"Elizabeth V Franklin, Margaret Mathias, Rachel Wolfe, Duc T Nguyen, Drusilla M Rosales, Sofia Pedroza, Albert C Hergenroeder, Constance M Wiemann","doi":"10.1002/eat.24534","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Access to follow-up care after a medical admission for adolescents with anorexia nervosa (AN) is important; yet access can be delayed or unavailable. This study assessed the feasibility and acceptability of a supplemental virtual 8-week outpatient group therapy program following inpatient care. A secondary aim explored the outpatient program's impact on self-reported anxiety, disordered eating, and depression symptoms, and readmission rates.</p><p><strong>Method: </strong>A retrospective chart review study compared 68 adolescents (aged 11-18) with AN enrolled in an 8-week group therapy program (Recovery and Prevention Program [RAPP]) to 64 adolescents who were not enrolled in RAPP (historical cohort). \"RAPP completers\" were defined as having attended 75% of their scheduled virtual therapy appointments.</p><p><strong>Results: </strong>RAPP demonstrated strong feasibility and acceptability, with a weekly attendance averaging 80%, and high participant satisfaction ratings (4.2 out of 5). Within-group comparisons of RAPP participants found that greater attendance was associated with decreased anxiety (p = 0.01) and ED symptoms (p < 0.001). Compared to females in the historical cohort, female RAPP completers had lower readmission rates within 6 months of discharge (p = 0.03).</p><p><strong>Discussion: </strong>This is the first study to demonstrate feasibility, acceptability, and preliminary changes over time in appointment attendance and self-reported mental health symptoms among adolescents with AN discharging from an inpatient ED program participating in a supplemental virtual group therapy program.</p><p><strong>Public significance: </strong>This study demonstrated that an 8-week virtual group therapy program (RAPP) is feasible and acceptable to adolescents with AN post-inpatient treatment and could serve as a promising supplement to family-based treatment to improve access to necessary follow-up care, including publicly insured patients from primarily Spanish-speaking families.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3000,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Historical Cohort Comparison After Inpatient Admission for Adolescents With Anorexia Nervosa: Feasibility of Virtual Group Therapy.\",\"authors\":\"Elizabeth V Franklin, Margaret Mathias, Rachel Wolfe, Duc T Nguyen, Drusilla M Rosales, Sofia Pedroza, Albert C Hergenroeder, Constance M Wiemann\",\"doi\":\"10.1002/eat.24534\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Access to follow-up care after a medical admission for adolescents with anorexia nervosa (AN) is important; yet access can be delayed or unavailable. This study assessed the feasibility and acceptability of a supplemental virtual 8-week outpatient group therapy program following inpatient care. A secondary aim explored the outpatient program's impact on self-reported anxiety, disordered eating, and depression symptoms, and readmission rates.</p><p><strong>Method: </strong>A retrospective chart review study compared 68 adolescents (aged 11-18) with AN enrolled in an 8-week group therapy program (Recovery and Prevention Program [RAPP]) to 64 adolescents who were not enrolled in RAPP (historical cohort). \\\"RAPP completers\\\" were defined as having attended 75% of their scheduled virtual therapy appointments.</p><p><strong>Results: </strong>RAPP demonstrated strong feasibility and acceptability, with a weekly attendance averaging 80%, and high participant satisfaction ratings (4.2 out of 5). Within-group comparisons of RAPP participants found that greater attendance was associated with decreased anxiety (p = 0.01) and ED symptoms (p < 0.001). Compared to females in the historical cohort, female RAPP completers had lower readmission rates within 6 months of discharge (p = 0.03).</p><p><strong>Discussion: </strong>This is the first study to demonstrate feasibility, acceptability, and preliminary changes over time in appointment attendance and self-reported mental health symptoms among adolescents with AN discharging from an inpatient ED program participating in a supplemental virtual group therapy program.</p><p><strong>Public significance: </strong>This study demonstrated that an 8-week virtual group therapy program (RAPP) is feasible and acceptable to adolescents with AN post-inpatient treatment and could serve as a promising supplement to family-based treatment to improve access to necessary follow-up care, including publicly insured patients from primarily Spanish-speaking families.</p>\",\"PeriodicalId\":51067,\"journal\":{\"name\":\"International Journal of Eating Disorders\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.3000,\"publicationDate\":\"2025-08-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/eat.24534\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/eat.24534","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
A Historical Cohort Comparison After Inpatient Admission for Adolescents With Anorexia Nervosa: Feasibility of Virtual Group Therapy.
Objective: Access to follow-up care after a medical admission for adolescents with anorexia nervosa (AN) is important; yet access can be delayed or unavailable. This study assessed the feasibility and acceptability of a supplemental virtual 8-week outpatient group therapy program following inpatient care. A secondary aim explored the outpatient program's impact on self-reported anxiety, disordered eating, and depression symptoms, and readmission rates.
Method: A retrospective chart review study compared 68 adolescents (aged 11-18) with AN enrolled in an 8-week group therapy program (Recovery and Prevention Program [RAPP]) to 64 adolescents who were not enrolled in RAPP (historical cohort). "RAPP completers" were defined as having attended 75% of their scheduled virtual therapy appointments.
Results: RAPP demonstrated strong feasibility and acceptability, with a weekly attendance averaging 80%, and high participant satisfaction ratings (4.2 out of 5). Within-group comparisons of RAPP participants found that greater attendance was associated with decreased anxiety (p = 0.01) and ED symptoms (p < 0.001). Compared to females in the historical cohort, female RAPP completers had lower readmission rates within 6 months of discharge (p = 0.03).
Discussion: This is the first study to demonstrate feasibility, acceptability, and preliminary changes over time in appointment attendance and self-reported mental health symptoms among adolescents with AN discharging from an inpatient ED program participating in a supplemental virtual group therapy program.
Public significance: This study demonstrated that an 8-week virtual group therapy program (RAPP) is feasible and acceptable to adolescents with AN post-inpatient treatment and could serve as a promising supplement to family-based treatment to improve access to necessary follow-up care, including publicly insured patients from primarily Spanish-speaking families.
期刊介绍：
Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.
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